Practicing the Science and Art of Psychiatric Nursing: Test Bank
Chapter 1: Practicing the Science and Art of Psychiatric Nursing
Test Bank
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living in the community with serious and persistent mental illness? Within 3 months, the patient will:
a.
deny suicidal ideation.
b.
report a sense of well-being.
c.
take medications as prescribed.
d.
attend clinic appointments on time.
ANS: B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role performance. The goal of recovery is to empower the individual with mental illness to achieve a sense of meaning and satisfaction in life and to function at the highest possible level of wellness. The incorrect options focus on the classic medical model rather than recovery.
DIF: Cognitive Level: Application REF: Pages: 2-3
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Health Promotion and Maintenance
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select the nurse’s most caring comment.
a.
“Let’s discuss some means of coping other than suicide when you have these feelings.”
b.
“I understand why you’re so depressed. When I got divorced, I was devastated too.”
c.
“You should forget about your marriage and move on with your life.”
d.
“How did you get so depressed that hospitalization was necessary?”
ANS: A
The nurse’s communication should evidence caring and a commitment to work with the patient. This commitment lets the patient know the nurse will help. Probing and advice are not helpful or therapeutic interventions.
DIF: Cognitive Level: Application REF: Pages: 6-8
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. In the shift-change report, an off-going nurse criticizes a patient who wears heavy makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
a.
“This is a
Test Bank
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living in the community with serious and persistent mental illness? Within 3 months, the patient will:
a.
deny suicidal ideation.
b.
report a sense of well-being.
c.
take medications as prescribed.
d.
attend clinic appointments on time.
ANS: B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role performance. The goal of recovery is to empower the individual with mental illness to achieve a sense of meaning and satisfaction in life and to function at the highest possible level of wellness. The incorrect options focus on the classic medical model rather than recovery.
DIF: Cognitive Level: Application REF: Pages: 2-3
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Health Promotion and Maintenance
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select the nurse’s most caring comment.
a.
“Let’s discuss some means of coping other than suicide when you have these feelings.”
b.
“I understand why you’re so depressed. When I got divorced, I was devastated too.”
c.
“You should forget about your marriage and move on with your life.”
d.
“How did you get so depressed that hospitalization was necessary?”
ANS: A
The nurse’s communication should evidence caring and a commitment to work with the patient. This commitment lets the patient know the nurse will help. Probing and advice are not helpful or therapeutic interventions.
DIF: Cognitive Level: Application REF: Pages: 6-8
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. In the shift-change report, an off-going nurse criticizes a patient who wears heavy makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
a.
“This is a